Bill To:


Mercury County Mutual Insurance
P.O. Box 203010
Austin, TX 78720-3010

Services Rendered To:


Emily Rabius
3418 Morrow Ave
Waco, TX 76710
POLICY# TXAP0000153063


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7000 N Hwy 6- Waco, TX

Subtotal $1,399.00
Total Due $1,399.00


Updated
November 15, 2022 @ 3:07 pm

Invoice updated by Geoffrey.

Status Update
November 15, 2022 @ 3:07 pm

Status changed: Draft to Pending.